Active NPI
Candace Louise Enslow, RDH
- Dental Hygienist
- North Plains, OR
National Provider Identifier
1639324924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH 2154
- Practice address
- 19267 N.W. Pumpkin Rigde Rd.
North Plains, OR 97133-0050 - Phone
- (503) 476-4303
- NPI assigned
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH 2154 | OR | Primary |
Addresses
Primary practice location
19267 N.W. Pumpkin Rigde Rd.
North Plains, OR 97133-0050
Mailing address
PO Box 50
North Plains, OR 97133-0050
Phone (503) 476-4303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RDH 2154 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1639324924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50",
"city": "NORTH PLAINS",
"state": "OR",
"postal_code": "971330050",
"telephone_number": "503-476-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19267 N.W. PUMPKIN RIGDE RD.",
"city": "NORTH PLAINS",
"state": "OR",
"postal_code": "971330050",
"telephone_number": "503-476-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENSLOW",
"first_name": "CANDACE",
"middle_name": "LOUISE",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "RDH 2154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Plains, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.